Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LOUVIERE ENTERPRISES, INC.
Active
Organization
LOUVIERE ENTERPRISES, INC.
Active
Other names
Mid South Sleep Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELIA C INGRAM (OWNER PRESIDENT)
(731) 664-8874
Entity
Organization
Contact information
Practice address
386 CARRIAGE HOUSE DR STE D, JACKSON, TN 38305
(731) 664-8874
(731) 664-8932
Mailing address
386 CARRIAGE HOUSE DR STE D, JACKSON, TN 38305-2236
(731) 664-8874
(731) 664-8932
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4218325
BCBS TN
—
Enumeration date
04/13/2006
Last updated
09/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers